Since hormone changes can lead to osteoporosis, post-menopausal women should also consider a bone mineral density test
(2012) 3:e21267
3.7 Trimethylamine-N-oxide in neurodegenerative diseases The recent evidence demonstrates a link between TMAO and several other gut microbial-derived metabolites with neurological diseases (Xu and Wang, 2016)
Interrupting endocrine therapy to attempt pregnancy after breast cancer
More serious risks include pancreatitis, gallbladder disease, acute kidney injury, and diabetic retinopathy complications
You don't need surgery "just in case." What watchful waiting involves in practice: No restriction on diet, although some patients find that limiting very fatty meals reduces the chance of triggering an episode Awareness of the symptoms to watch for: severe upper-right or upper-central abdominal pain, pain radiating to the right shoulder, nausea and vomiting, jaundice, or fever Prompt review if any of those symptoms develop When earlier surgery is reasonable Conversely, there are valid reasons to choose elective cholecystectomy even without high-risk features: Practical: planning surgery on your terms (around work, travel, family) is preferable to an emergency admission Geographic or lifestyle: frequent travel to areas with limited healthcare access raises the threshold for "wait and see" Risk aversion: some patients place high weight on eliminating future uncertainty Concurrent surgery: if another abdominal procedure is planned, combining can make sense Neither approach is "right." Both are reasonable
